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MCQs в дерматологии
Татьяна Викторовна Дата: Четверг, 02.10.2008, 05:57 | Сообщение # 1
 

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Добавлено (02.10.2008, 05:57)
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The following are birth marks

1. Cradle cap

2. Casal's necklace

3. Strawberry Naevus

4. Port wine stain

5. Beau's lines
1. False

2. False

3. True

4. True

5. False

Yellow discolouration of nails is a feature of

1. Antimalarial therapy

2. Pustular psoriasis

3. Dermatophyte infections

4. Hypoalbuminaemia

5. Phenothiazine administration

1. False ( It causes blue/black nails)

2. True

3. True

4. False ( Causes transverse white bands in nails - White nails)

5. False ( Cause blue/black discoloration of nails)

Topical steroids help

1. Peri- oral dermatitis

2. Most types of Psoriasis

3. Rosacea

4. Striae of skin

1. False - Worsens with steroids

2. False

3. False

4. False (Stretch marks can be caused by steroids)

5. False

Arsenic ingestion is associated with

1. Ichthyosis erythroderma

2. Bowen's disease

3. Small circular brown keratoses on the palms and soles

4. Psoriasis
5. Lichen simplex

1. False

2. True

3. True

4. False

5. False

The histological features of eczema include -

1. Follicular plugging

2. Parakeratosis

3. Constriction of dermal blood vessels

4. Hyperkeratosis

5. Dermal infiltration by lymphocytes
1. False - This is a characteristic of DLE

2. True - This is due to retention of nuclei by immature corneocytes

3. False - these vessels usually dialte in eczema

4. True

5. True

Periungual erythema is a sign of

1. Syringoma

2. Tuberculoid leprosy

3. Lupus erythematosus

4. Systemic sclerosis

5. Dermatomyositis
1. False

2. False

3. True

4. True

5. True

Dermatitis Herpetiformis

1. is associated with gastrointestinal symptoms in about 60% of cases

2. is an itchy skin disorder

3. can be improved by gluten free diet

4. lesions can affect the scalp

5. responds to steroids

1. False - (Mild malabsorption but GI symptoms are rare)

2. True

3. True

4. True ( lesions can be seen on scalp too)

5. False (Dapsone)

The following conditions may result in Scarring Alopecia

1. Discoid lupus erythematosus

2. Sarcoidosis

3. Radiotherapy

4. Herpes zoster infection of scalp

5. Lichen planus

All are true.....

Leg ulcers maybe found in

1. Sickle cell anaemia

2. Tabes dorsalis

3. Pityriasis amiantacea

4. Polyarteritis nodosa

5. Ulcerative colitis

1. True

2. True - Neuropathic ulcers

3. False

4. True - ulcers develop due to vasculitis

5. True - Can develop Pyoderma gangrenosum

Pyoderma gangrenosum is associated with

1. Ulcerative colitis

2. Crohn's disease

3. Rheumatoid arthritis

4. Gardner's syndrome

5. IgA paraproteinaemia

The correct answer is 1, 2 , 3 and 5 are true

Seborrhoeic Warts

1. Arise from sebaceous glands

2. common in people over 50 yrs

3. found mostly on trunk and temples

4. Are pre-malignant

5. Can be mistaken for malignant melanoma

1.false

2.true

3.true

4.false

5.true

Which of the following statements are correct?

1. Erythrasma responds to oral erythromycin

2. Trichomycosis axillaris responds to clotrimazole

3. Erysipelas is best treated by IM Penicillin

4. Sycosis barbae responds to antibiotics

5. Carbuncle is best treated with topical antibiotics

1. True.

2. False (caused by Diphtheroids)

3. True

4. True

5. False

Cutaneous manifestations of Diabetes Mellitus include -

1. Granuloma annulare

2. Erythema ab igne

3. Boils

4. Xanthomata on the buttocks

5. Erythema marginatum

1. True

2. False

3. True

4. True

5. False

Systemic steroids are effective in -

1. Erythema multiforme in children

2. Aggressive pyoderma gangrenosum

3. Pemphigus vulgaris

4. Erysipeloid

5. Severe acne
1. False (Steroids have been shown to be not useful in children)

2. True (Painful lesions with systemic symptoms require high doses of steroids)

3. True

4. False (Self Limiting, Penicillin can be given)

5. False (Steroids can cause Acne)

Urticaria Pigmentosa

1. is common in adults

2. responds well to Aspirin

3. Characterized by pigmented lesions widely distributed on the trunk

4. is an example of mastocytosis

5. has better prognosis in adults

1. False ( commoner in children)

2. False ( Aspirin may precipitate attacks of flushing and irritation of the skin)

3. True (lesions are sparse on the limbs)

4. True (there is an increase in the number of mast cells in the skin)

5. False

The clinical features of McCune-Albright syndrome include

1. Pathological fractures

2. Sexual precosity in females

3. A positive Mitsuda reaction

4. Cafe-au-lait spots

5. An association with hyperparathyroidism

Mitsuda reaction is only associated with leprosy.

McCune Albright syndrome is also associated with Hyperparathyroidism, Gigantism and Hyperthyroidism.

The kidney and the skin may be simultaneously involved in -

1. Amyloidosis

2. Polyarteritis nodosa

3. Hartnup disease

4. Tuberous sclerosis

5. Rheumatoid arthritis
1. True

2. True

3. True ( In Hartnup disease there is amino aciduria and pellagra - defective absorption of tryptophan from the GIT and Renal tubule)

4. True (Renal tumours are seen in 40% of patients - usually Angiomyolipoma)

5. True

CNS involvement is a recognized feature of the following dermatoses

1. Sjogren - Larsson syndrome

2. Epidermal naevus syndrome

3. Campbell de Morgan spots

4. Tuberous sclerosis

5. Sturge-Weber syndrome

1. Sjogren- Larsson Syndrome - This presents as spastic diplegia, mental retardation and ichthyotic skin.

2. Epidermal Naevus syndrome - The pigmented epidermal naevi are associated with Epilepsy or mental retardation.

3. Campbell de Morgan spots - They are red spots (Keratoangiomas) seen on the trunk and limbs.

4. Tuberous sclerosis - associated with epilepsy and severe mental retardation

5. Sturge Weber syndrome - port wine naevus on the face, leptomeningeal angioma and associated with epilepsy.

Orf

1. Is caused by an echovirus

2. Is a recognized cause of erythema multiforme

3. Lesions usually settle in 10 days

4. Is Synonymous with Milker's nodes

5. Is usually followed by Life long immunity
1. False - It is caused by a pox virus

2. True - EM occurs if the lesion is incised and antigen is released.

3. False - Settles in abt 7 weeks

4. False - Milker's nodules are caused by another pox virus which is similar to that causing Orf

5. True

The following are recognized causes of Erythroderma

1. Pityriasis rubra pilaris

2. Seborrhoeic dermatitis in the elderly

3. Mycosis fungoides

4. Morphea

5. Kugelberg- Welander disease

1. True

2. True

3. True

4. False (Morphoea is a localized form of sclerosis)

5. False. ( This is a spinal muscular atrophy seen in childhood)

The following are related to sports -

1. Otitis externa

2. Vogt-Koyanagi-Harada syndrome

3. Von Zumbusch syndrome

4. Chilblains

5. Miliaria
1. True ( Swimming can cause this)

2. False (This is a syndrome involving vitiligo, alopecia areata and uveitis)

3. False (This is generalized pustular psoriasis)

4. True (Can be caused by Horse riding, swimming in sea)

5. True ( any sports in hot humid climate)

Macular amyloidosis

1. Is a characteristic feature of systemic amyloidosis

2. Is less common in Asians

3. Is synonymous with lichen amyloidosis

4. Commonly affects shoulders, neck and upper back

5. It is difficult to demonstrate the amyloid using routine histological methods
1. False

2. False

3. False

4. True

5. True

The following are birth marks

1. Cradle cap

2. Casal's necklace

3. Strawberry Naevus

4. Port wine stain

5. Beau's lines
1. False

2. False

3. True

4. True

5. False

The following are the cutaneous manifestations of underlying malignancy
1. Pallor

2. Flushing

3. Herpes zoster

4. Psoriasis

5. Lichen Planus
1. True

2. True (Carcinoid syndrome)

3. True (Leukaemia)

4. False

5. False

Tuberculoid leprosy

1. Shows a very weak type IV hypersensitivity reaction to lepromin

2. Is due to Mycobacterium tuberculosis

3. Shows many bacilli in the skin smears

4. Usually presents with an anaesthetic hypopigmented macule

5. is associated with hypertrichosis at the site of lesion
1. False (Lepromin test in strongly positive)

2. False (Due to Mycobacterium leprae)

3. False (Very few acid fast bacilli)

4. True (Facial lesions are not usually anaesthetic)

5. False (There is loss of hair and sweating at the site of the lesion)

Juvenile plantar dermatosis

1. responds well to steroid ointments

2. is commonest after puberty

3. improves with wearing permeable leather shoes

4. was very common in the 1950s

5. is characterised by a scaly fissured erythema on the fore-foot
1. False

2. False

3. True

4. False

5. True

 
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